July, 1st 2015.
Caesarean section is the most common obstetric surgical procedure today. Improvement of operative techniques, anaesthesia, care and transfusion has contributed to the safety of this procedure and expansion of indications. Still we should keep in mind that perinatal complication risks are several times higher than in vaginal delivery. Also, there are many unexplained aspects of how cesarean section affects the psychophysical development of the children.
The opening lecture of this interactive workshop will be focused on one of the new operative techniques – Caesarean section modified by Vejnovic. The main concept of the modification Vejnović is that we have to respect natural processes and try to imitate the mechanisms of the vaginal delivery during the cesarean section, thus making it cesarean delivery.
This lecture will be supported with live video operation of caesarean section. After the lecture a discussion in which all the participants can actively participate will follow. In the practical part of this workshop all the attendees will actively participate in the normal vaginal delivery on obstetrical and childbirth simulator models and be allowed to attend the childbirth at the Department of Perinatology if it is in progress.
Movement d isorders present one of t he most i ntriguing a nd fastest developing fields in neurology. They are usually considered in the context of neurodegenerative diseases of unknown origin, commonly connected with ageing. However, there is a whole range of well established etiological factors such as environmental, metabolic, genetic, psychic and other, that may be either primary causes or key contributors to the development of the diseases. The aim of this workshop is to give the insight into the basics of movement disorders. The clinical features and hallmarks of tremor, dystonia, chorea, myoclonus, tics and functional disorders will be presented and discussed. Participants will go through latest definitions, classifications, diagnostics protocols and treatment possibilities. The workshop is designed in an interactive form supported with short films from the presenter’s archive. After attending the workshop, a participant should be able to detect, describe and tell between the movement disorders. The principals of the management of movement disorders, introduced to the participants in detail, should encompass not only therapeutical procedures, but also the contributing factors, quality of life and the patients’ siblings well being.
3. INTRODUCTION AND WORK WITH NOVEL IMPLANTATION SYSTEMS
The purpose of this workshop is to show dentistry students components and techniques necessary to complete the surgical and restorative stages of implant cases. The workshop involves a combination of lectures, demonstrations and hand-on workshop utilising the complete range of hand and mechanical instrumentation to install implants on their own on implant models.
Ultrasound made a revolution in diagnosis and follow-up of heart diseases. Echocardiography provides quickly and accurately crucial information about the size, shape and function of the heart(pumping capacity, valvular function, flows) and the location and extent of any tissue damage. Nowadays, handling the ultrasound device is not only concern of a specialist, but should have become routine in everyday practice. It is especially important in emergency cases where the right differential diagnosis can save someone’s life.
This interactive workshop will include theoretical basics of echocardiography, followed by live ultrasound demonstration and discussion about interesting cases from the clinical practice. Each participant will have opportunity to handle ultrasound device. At the end, participants will check their echo-knowledge through short quiz! Enjoy!
Technology and robotics in particular are often portrayed as the promising alternative for costly human resourced care. Leading death causes in most of the developed countries are non-communicable disease which usually concur with a long-term course of disease. As a result, alternative ways of organizing care are alluring. Robotics have become a growing field for care provision, but are posed with the challenge to cater for the patient goup that suffers most from chronic diseases: the elderly. In this workshop after a background sketch of the issues at stake, we will discuss advances in robotics and how these can or are integrated in care. Students are invited to share their views on what this promise entails and we will critically review whether this promise is fulfilled or the medical-ethical issues that need to be addressed.
Leyden Academy offers a one-year international Master Programme on Vitality and Ageing designed for post-graduate students. This program offers you a total package on ageing. You will gain knowledge of the evolution and biology of ageing, clinical geriatrics, and healthcare organisation, and you will practice your skills of performing research, management, and communication. Next year’s programme is now open for registration. If you like to know more, please contact us at firstname.lastname@example.org or visit our website www.leydenacademy.nl.
Neuroradiology is a clinical subspecialty dealing with detection of the brain and spinal cord diseases, using radiological equipment: computed tomography, magnetic resonance imaging and angiography. The lecture will be based on teaching how physicians should properly make decisions about using imaging, associated with radiological evaluation of certain clinical problems like brain inflammation, infections, trauma, ischemic stroke, seizure, haemorrhage and tumours.
7. EMERGENCY MEDICINE SIMULATION
Time: Saturday, 18th of July, 11:30h
Supervisors: 1. Ass. Prof. Gordana Jovanović, Department of Anesthesiology and Intensive Care, Clinical Center of Vojvodina; 2. Ass. Arsen Uvelin, Emergency Center, Clinical Center of Vojvodina
Place: Clinical Center of Vojvodina
Simulation has become increasingly important in emergency medicine education. Students, residents and attending physicians all benefit from the controlled environment of simulation to perfect high stakes, infrequently performed procedures that can impact patient outcomes. The ability to reinforce patient safety initiatives, emphasize teamwork, communication skills, and resource management, and integrate core emergency medicine principles to simulated patient care scenarios are some of the many ways emergency medicine has embraced simulation as an educational tool.
Two simulation sessions will take place in real terms of the operating room.
Supervisor: 1. Nataša Perković-Vukčević, MD, Specialist in Internal Medicine – Toxicologist, 2. Vesna Mijatović, MD, PhD, Specialist in Clinical Pharmacology
Place: Faculty of Medicine Novi Sad – Deanery
Intoxications caused by the large number of xenobiotics have become an increasingly important issue in the emergency medicine. Beside alcohol, the most commonly detected xenobiotics in the blood samples from acutely poisoned patients seeking professional help are various drugs. According to the data recently published by the Poison Control Centre - Military Medical Academy Belgrade, Emergency Centre – Clinical Centre of Vojvodina and Department of Pharmacology, Toxicology and Clinical Pharmacology – Faculty of Medicine Novi Sad, psychotropic drugs (benzodiazepines, antipsychotics, antidepressants and antiepileptics) have been responsible for more than 80% of poisonings in patients observed or hospitalized for suspicion of drug intoxication. After attending this workshop the participants (students of medicine and pharmacy) will be able to understand the underlying mechanisms of acute poisonings with psychotropic drugs. In addition, through solving noteworthy case reports from the everyday clinical practice, attendances will be able to recognize the patients acutely poisoned with the most frequently (ab)used benzodiazepines, antipsychotics, antidepressants and antiepileptics as well as they will become familiar with the complications reported in such cases. Moreover, they will be encouraged to suggest the most suitable therapeutic approach according to patients’ physical conditions (taking into account patients’ history, clinical status and laboratory results). Clinical problems which will be discussed during the course represent:
Supervisors: Miloš Bokorov, biologist- expert for Electron Microscopy
Place: Faculty of Sciences Novi Sad – Department of Biology and Ecology
This workshop is a unique opportunity to peek into the micro-world and to become familiar with the Scanning Electron Microscope (SEM). You will learn how SEM works and how it is used. Afterwards you will see some of the biological specimens under magnification up to almost 500.000 times.
Supervisors: 1. Bojan Božić, MD; 2. Nemanja Pejaković, MD; 3. Maša Đođić, MD
Place: Faculty of Medicine, Physiology – Classroom 1
Supervisors: Prof. Dragan Katanić, MD PhD
Place: Faculty of Medicine, Amphitheatre 2
Medical errors could happen due to mistakes of doctors, laboratory staff, nurses and technicians or in communication between doctor and patient.
The errors are usually noticed by other doctors, nurses and technicians, laboratory personel, patient, patients’ family, journalists or the legal system.
Most frequently, the errors occur during weekends, at the end of night shift (around 6 a.m.). Considering age of the patients, common mistakes are linked to toddlers.
Errors are usually in the field of medicine treatment (dosage, number of doses, application, wrong drug, inadequate allergy history). Surprisingly, the most prescribing drugs in pediatrics (paracetamol-acetaminophen and antibiotics) are also the most lapsed.
Wrong diagnostics could affect a person’s lifetime (when female newborn with congenital adrenal hyperplasia is assigned as male).
Inadequate sampling is quite common reason for unnecessary investigations – prolactin sampling is compulsory at least two hours after awakening and at least fifteen minutes after venipuncture (due to its circadian rhythm and stress response). Not knowing that in the first two years after menarche, menstrual cycle need not be regular, will also lead to unnecessary hormonal treatment.
Nurses and technicians sometimes make mistake in measuring child’s body weight (and the consequence is wrong dosage) or perform medical intervention on wrong person (twins or siblings).
Ignorant doctor will urinalysis with bacteria always read as urinary tract infection and prescribe antibiotics, though the common vulvovaginitis is more likely. Similarly, differential white blood count is normally completely opposite in infant and adult person.
Medical errors are more present in rush or lack of time, sometimes due to difficult-boring patient (constantly not satisfied, too polite in expectation of a benefit, unnecessary time consuming or with superficial medical knowledge from Internet). The number of difficult patients is inversely proportioned to the culture level. The doctors should learn some helping phrases arguing with difficult patients. If the patient offends the doctor, medical help can be denied, except in emergency.
Due to possibility of accusation for molesting, the examination should be done in the presence of the nurse. Never use the promise that everything will be all right. Never make diagnosis or order treatment by the phone (except in telemedicine conditions). Unpleasant information should be given while patient is sitting and having some close friend or relative as support.
Hippocratic Oath is often used by a patient as a summons. Although not familiar with its content, the patients are convinced that doctors should heal free of charge and this is not true – the doctors should teach art of medicine free of charge the children of their teachers.
The quality of a doctor could be measured by the number of normal results of laboratory findings he asked for (good doctors will search for pathological results).
Doctors are social elite:
- Mandatory medical assistance in the case of emergency anywhere anytime
- The proper treatment even for the personal enemy
- Signs many legal documents every day
- Specialists have two faculties (general medicine and specialization).